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General NPI Number Information
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NPI Number | 1023902269
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Entity Type | Individual
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Provider Name | LONDYN ROUSE LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 13937 TECHNOLOGY DR STE B
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-1053
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Country | US
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Telephone | 405-784-6981
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Fax |
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Provider Business Mailing Address
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Address Line | 1808 NW 197TH ST
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City | EDMOND
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State | OK
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Zip | 73012-3561
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Country | US
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Telephone | 765-617-6991
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Fax | 765-617-6991
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 8508
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License Number State | OK
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